Healthcare Provider Details

I. General information

NPI: 1437060514
Provider Name (Legal Business Name): ON THE OTHER SIDE OF THE FENCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18111 SE 80TH ST
MORRISTON FL
32668-5328
US

IV. Provider business mailing address

18111 SE 80TH ST
MORRISTON FL
32668-5328
US

V. Phone/Fax

Practice location:
  • Phone: 352-789-9813
  • Fax:
Mailing address:
  • Phone: 352-789-9813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JAMIE L. HATFIELD
Title or Position: FOUNDER/CLINICAL DIRECTOR
Credential: LCSW
Phone: 352-789-9813